Evert Gene Siebert, LAT, ATC

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

36001269A Issued in IN

Practice address

7TH Street
Indiana State University, Arena Building
Terre Haute, IN 47807

Phone

(812) 249-9468

NPI assigned

Feb 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235103656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 ELM ST",
            "address_2": "APT 3",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478072046",
            "telephone_number": "812-249-9468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7TH STREET",
            "address_2": "INDIANA STATE UNIVERSITY, ARENA BUILDING",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "47807",
            "telephone_number": "812-249-9468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEBERT",
        "first_name": "EVERT",
        "middle_name": "GENE",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": "36001269A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William C. Shriner, MD
• Lingan Sidda, MD
• Usaima Naveed Siddiqi, D.O.
• Katey Leeann Siddons
• Charles Sides, MD
• Dakota Sieple, RBT
• Kathryn Sievers, PTA
• Fred H Simmons Jr., D.D.S.,M.S.D.
• Dana Elizabeth Simons, LCAC, LSW
• Kristina Eve Simons, LCSW

• Student in an Organized Health Care Education/Training Program in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Student in an Organized Health Care Education/Training Program in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.